Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Sue Derosia, LPN

Individual provider Licensed Practical Nurse · NPI 1689966350

Jennifer Sue Derosia, LPN is a Licensed Practical Nurse in Carterville, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

403 Municipal Dr
Carterville, IL 62918-2042
Phone: (855) 608-3560
Fax: (618) 956-9349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Licensed Practical Nurse Taxonomy 164W00000X · Licence 043077866 (IL)

Record details

NPI number1689966350
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMay 12, 2011
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

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